• Title/Summary/Keyword: Early outcomes

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Update of Diagnostic Evaluation of Craniosynostosis with a Focus on Pediatric Systematic Evaluation and Genetic Studies

  • Hwang, Su-Kyeong;Park, Ki-Su;Park, Seong-Hyun;Hwang, Sung Kyoo
    • Journal of Korean Neurosurgical Society
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    • v.59 no.3
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    • pp.214-218
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    • 2016
  • Most craniosynostoses are sporadic, but may have an underlying genetic basis. Secondary and syndromic craniosynostosis accompanies various systemic diseases or associated anomalies. Early detection of an associated disease may facilitate the interdisciplinary management of patients and improve outcomes. For that reason, systematic evaluation of craniosynostosis is mandatory. The authors reviewed systematic evaluation of craniosynostosis with an emphasis on genetic analysis.

The importance of choice criteria in vacation destination decisions (휴가목적지 선택과정에서의 선택기준의 중요성)

  • 김성진;안건용
    • Journal of the Korean Institute of Landscape Architecture
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    • v.25 no.3
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    • pp.47-55
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    • 1997
  • A vacation destination was conceptualized to be chosen through a three-stage process consisting of an early consideration set formation, a late consideration set formation, and a final selection stage. Choice criteria were defined as an individual's belief toward the relationships between perceived attributes, expected outcomes, and the destination. And these criteria were assumed to be divided into benefit-related dimension and perceived risk-related dimension. Through two pilot surveys, 13 items which have 4 factors were identified. used on 4 factor structures, the benefit-related dimension was identified to be consisted of three sub-dimensions, "historic/cultural", "escaped" and "naturalness". A longitudinal panel survey was used to test the differences of the importance of choice dimensions through the choice process. The importance of benefit-related dimension was decreased through the choice process as hypothesized except "naturalness" factor. And as hypothesized, the importance of perceived risk-related dimension was increased.

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Robotic Lateral Compartment Selective Neck Dissection in Well-Differentiated Thyroid Carcinoma (갑상선 분화암에서 로봇을 이용한 측경부 림프절 절제술)

  • Tae, Kyung
    • Korean Journal of Bronchoesophagology
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    • v.17 no.2
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    • pp.83-88
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    • 2011
  • Robotic thyroidectomy has been developed to minimize neck scarring, and several authors have described its feasibility and safety, and have reported surgical outcomes comparable with conventional open thyroidectomy. The da Vinci surgical system robot provides a three-dimensional $10-12{\times}$magnified view of the surgical area. It also provides hand-tremor filtration, fine motion scaling, and precise and multi-articulated hand-like motions. Recently, robotic technology has also been applied to lateral compartment neck dissection in thyroid cancer. We have developed a new novel selective neck dissection procedure by a gasless unilateral axillo-breast (GUAB) approach with a da Vinci Surgical System for well-differentiated thyroid carcinoma to avoid a long visible neck scar. Based on our early experience, robotic selective neck dissection by GUAB approach is a safe, feasible and cosmetically excellent procedure. It can be an alternative to conventional open surgery in the highly selected patients with well-differentiated thyroid carcinoma. The oncologic safety of robotic selective neck dissection should be verified with long-term follow-up data.

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Nicolau Syndrome following Diclofenac Injection in an Emergency Department (응급실에서 디클로페낙 근주 후 발생한 니콜라우 증후군 1례)

  • Chung, Sang-Won;Kang, Ji-Hoon;Yeo, Jun-Mo;Ko, Jai-Woog
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.2
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    • pp.101-104
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    • 2011
  • Nicolau syndrome is a rare adverse reaction at the site of an intramuscular injection, and is characterized by severe pain immediately after the injection and rapid development of distinct skin lesions. As this syndrome is rare, it may be overlooked at the early clinical phase and subsequently, clinical outcomes may be worse due to delay in treatment. We report on a female who developed Nicolau syndrome following intramuscular diclofenac injection, which required surgical reconstruction. Understanding the characteristics of Nicolau syndrome and careful surveillance for relevant clinical features may help physicians to more quickly diagnose and treat this condition.

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The direction of the study regarding the treatment of Rheumatoid Arthritis (최근 RA와 관련된 임상 및 실험 논문의 경향)

  • Kim, Yung-tae;Lee, Jae-dong;Lee, Yun-ho
    • Journal of Acupuncture Research
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    • v.19 no.5
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    • pp.189-198
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    • 2002
  • Objective : To research the trend of the study related to rheumatoid arthritis(RA) and to establish the hereafter direction of the study on RA. Methods : We have selected 12 medical report about RA in Arthritis & Rheumatism and Journal of Rheumatology recently, reviewed them, and investigated their methods. Results & Conclusions : The pattern of study was as follows: physical & serologic research in 2 articles, immunologic research in 7 articles, and genetic research in 3 articles. There is now evidence of the benefit of treatment early in the disease course and evidence of the impact of treatment on outcomes. New classes of therapeutic agents have also been introduced. Wherever possible, these revised guidelines are evidence-based. By the above results, it would be needed further research on RA mechanism related immunologic and genetic process.

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Pneumonia in Immunocompromised Patients (면역저하 환자에서의 폐렴)

  • Yoon, Hyoung-Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.5
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    • pp.371-383
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    • 2011
  • The number of immunocompromised patients has increased over the past decades due to HIV infection, solid and stem cell transplantation, intensified chemotherapy and treatment of autoimmune disease. Pneumonia is a major cause of both morbidity and mortality in immunocompromised patients. Clinical management of pneumonia is difficult, since differential diagnosis in this setting is broad and includes both infectious and noninfectious processes. Because the development of pneumonia in immunocompromised patients is frequently life threatening, early therapeutic and diagnostic intervention is essential to obtain better outcomes.

Present and Future of Construction Automation and Robotics in Korea (국내 건설로봇 기술개발 현황과 미래 전망)

  • Kim Young-Suk;Lee Jun-Bok;Kwon Soon-Wook
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2006.04a
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    • pp.50-57
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    • 2006
  • In recent years, a mm1ber of construction robots have been developed, but few practical examples can be found on construction sites today. Nevertheless, automation and robotics are proposed as apparent solutions to problems in productivity, quality, safety, and skilled-labor availability in future construction industry. Since the early 2000s, there has been growing interest in construction automation and robotics in Korea, and significant progresses have also been made. This paper mainly describes the needs of research and development program to introduce robots on construction sites, and primary outcomes which are developed in domestic construction industry. Essential technologies required for the development of construction robots, future prospects of the technology advances, and several suggestions are also presented in this paper.

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The Effects of Alphabet Exercise with SSP Electrotherapy on Lateral Ankle Sprain (족관절 염좌에 SSP 전자침 요법을 병행한 동기침법의 효과)

  • Kim Gi-Yeol;Woo Kyung-Ha
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.33-43
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    • 2004
  • The multiple acupuncture techniques have been used to relieve the pain of lateral ankle sprain. Recently, early functional rehabilitation is emphasized in rehabilitative concepts using active ROM, facilitated proprioception, alphabet exercise and so forth. Similarly, in oriental rehabilition medicine, traditional movement technique called 'Dong-Ki' has been used to relieve pain of ankle sprain. So we used 'Dong-Ki' technique with SSP(silver spike point) electrotherapy transformed from alphabet exercise and evaluated the effects in method of randomized controlled trials. 27 outpatients with lateral ankle sprains were randomized into two groups : 15 samples and 12 controls. Sample group was treated with 'Dong-Ki' technique(writing his name with foot) with SSP electrotherapy to relieve pain during additionally. 'Dong-Ki'. Outcomes were measured by 10cm VAS and ankle circumference(cm). In terms of VAS, Sample group had inclination of pain relieving but not significantly meaningful. In terms of ankle circumference measurement, Sample group showed significantly improved.

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Environmental tobacco smoke and childhood asthma

  • Song, Dae Jin
    • Clinical and Experimental Pediatrics
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    • v.53 no.2
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    • pp.121-128
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    • 2010
  • In recent years, environmental tobacco smoke (ETS) has become an important worldwide public health issue. Children are particularly vulnerable to ETS because they are still developing. ETS exposure causes a wide range of adverse health effects on childhood asthma. There is convincing evidence that ETS exposure is causally associated with an increased prevalence of asthma, increased severity of asthma and worsening asthma control in children who already have the disease, even though a causal relationship with asthma onset is not yet established for asthma incidence. Mechanisms underlying these adverse effects of ETS are not clearly elucidated but e studies on this issue suggest that genetic susceptibility, impaired lung function, and augmented airway inflammation and remodeling may be involved. Children with asthma are just as likely to be exposed to ETS as children in general and there is no risk-free level of exposure. Therefore, providing a smoke-free environment may be of particular importance to the asthmatic children exposed to ETS who have adverse asthma outcomes, as well as to children with genetic susceptibility who are at increased risk of developing asthma upon exposure to ETS in early childhood.

Lymphomatosis Cerebri

  • Choi, Chan-Young;Lee, Chae-Heuck;Joo, Mee
    • Journal of Korean Neurosurgical Society
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    • v.54 no.5
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    • pp.420-422
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    • 2013
  • Lymphomatosis cerebri is considered a diffuse form of primary central nervous system lymphoma and very rare. It is not well recognized and may be misdiagnosed with infiltrating tumors, degenerative disorders, ischemic diseases, and infectious diseases developed in the brain. Awareness of the possibility of this rare disease and early biopsy are required for differential diagnosis and preventing poor clinical outcomes. We report a case with lymphomatosis cerebri who presented with rapid neurological deteriorations and review the relevant literatures.